Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis

Tomes, Colin; Sawyer, Sally; Orr, Rob Marc; Schram, Ben

doi:10.1136/injuryprev-2019-043245

Cited by 29 publications

(31 citation statements)

References 47 publications

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“…It is estimated that each year, more than 640,000 people die as a result of falls [ 1 ]. Falls are the second leading cause of non-fatal and fatal injuries among older adults [ 2 , 3 , 4 ]. Older adults with a high risk of falls are in the high-risk group for fall injury [ 5 ] and fall-related death [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy

Fernandes

Almeida

et al. 2021

JPM

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There is a need to increase older adults’ access and adherence to falls prevention strategies. This study aims to explore older adults’ perceived barriers to participation in a fall prevention strategy. A qualitative descriptive approach was used. Semi-structured interviews were conducted with 18 older adult users of a Day Care Unit from a Private Institution of Social Solidarity in the region of Lisbon and Tagus Valley in Portugal. The recruitment was made in September 2019. The interviews were recorded transcribed verbatim and analysed thematically using the method of constant comparisons. The barriers to participation in a fall prevention strategy are healthcare system gaps, social context, economic context, health status, psychological capability, and lack of knowledge to demystify myths and misconceptions about falls. There are different barriers to participate in a fall prevention strategy. It is urgent to eliminate or reduce the effect of these barriers to increase older adults’ participation in fall prevention strategies.

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Section: Introductionmentioning

confidence: 99%

Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy

Fernandes

Almeida

et al. 2021

JPM

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“…However, the constant direction changes can prove stressful (14), and individuals that cannot keep pace could be ejected from the 20MSFT even if they have not reached their maximal aerobic capacity (20). Nonetheless, better performance in the 2.4-km run and 20MSFT has been linked to academy graduation in law enforcement recruits, which indicates the practical application of both tests (7,19,21). This led Lockie et al (13) to investigate the relationships between the 2.4-km run and 20MSFT in law enforcement recruits.…”

Section: Introductionmentioning

confidence: 99%

2.4-km Run and 20-m Multistage Fitness Test Relationships in Law Enforcement Recruits After Academy Training

Lockie

Hernández

Moreno

et al. 2020

Journal of Strength and Conditioning Research

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The 2.4-km run and 20-m multistage fitness test (20MSFT) are common aerobic fitness tests in law enforcement. Previous research analyzed relationships between these tests in recruits, and indicated limited transferability due to disparate demands (direction changes, running intensity). However, the correlations between 2.4-km run and 20MSFT in recruits postacademy training may be different, where recruits should be fitter and able to complete highintensity running efforts. This study documented changes in and relationships between the 2.4km run and 20MSFT in law enforcement recruits post-academy training. Retrospective analysis on six academy classes (276 males, 50 females) from one agency was conducted. The 20MSFT and 2.4-km run were completed pre-and post-academy training. Estimated V O2max was derived from 2.4-km run time and the 20MSFT shuttle number. Paired-samples t-tests ascertained whether the 2.4-km run and 20MSFT improved post-academy. Correlations and linear regression derived relationships between the 2.4-km run and 20MSFT. Recruits improved in the 2.4-km run and 20MSFT (p < 0.01). There were significant correlations between the 2.4km run and 20MSFT for all recruits (r = -0.49), males (r = -0.48), and females (r = -0.29).However, the regression equations for all recruits (r 2 = 0.24), males (r 2 = 0.23) and females (r 2 = 0.08) were low. The results suggested there were disparate aspects to the 2.4-km run and 20MSFT in law enforcement recruits post-academy. Even though aerobic fitness improved, there are likely other aspects important to the 20MSFT not developed during academy (changeof-direction ability, high-intensity running). This could have impact the between-test relationship.

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“…Abdominal endurance was correlated with PAT [ 40 ] and OPAT [ 39 ] performance while abdominal endurance and strength was found to be important for firefighters’ ability test performance [ 35 ]. The use of measures of muscular endurance, such as push-ups or sit-ups, may be more indicative of a global measure of fitness and are, therefore, questioned as relevant in fitness testing [ 51 ]. However, this is not to suggest that these measures are not of value, as poor holistic fitness can have second-order impacts on occupational fitness (e.g., increased workplace absenteeism due to illness) [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

The Use of Fitness Testing to Predict Occupational Performance in Tactical Personnel: A Critical Review

Orr

Sakurai

Scott

et al. 2021

IJERPH

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Tactical personnel work in an occupation that involves tasks requiring a high level of cardiovascular fitness as well as muscular strength and endurance. The aim of this literature review was to identify and critique studies investigating the relationship between physical fitness, quantified by fitness assessment measures, and occupational task performance. Databases were searched for relevant articles which assessed a fitness measure and a measure of occupational performance. A total of 15 articles were included and were deemed to be of acceptable methodological quality (8.4/12 on the Critical Appraisal Skills Programme checklist). Included articles assessed a variety of fitness attributes and occupational tasks. Across tactical groups, there appear to be no standardized fitness tests that can determine occupational performance, with aerobic fitness, anaerobic fitness, strength, endurance, power, and agility all being associated with occupational task performance. A wide range of fitness assessments appears to be required to predict occupational performance within tactical personnel. Efforts should be made to base fitness assessments on occupational demands unique to both the environment and requirements of each individual tactical unit.

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Ability of fitness testing to predict injury risk during initial tactical training: a systematic review and meta-analysis

Cited by 29 publications

References 47 publications

Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy

Older Adults’ Perceived Barriers to Participation in a Falls Prevention Strategy

2.4-km Run and 20-m Multistage Fitness Test Relationships in Law Enforcement Recruits After Academy Training

The Use of Fitness Testing to Predict Occupational Performance in Tactical Personnel: A Critical Review

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